I wonder why
Carmen > Date: Thu, 26 Feb 2009 21:14:29 -0500 > From: [email protected] > To: [email protected] > Subject: Re: [OTlist] What Would YOU Do? > > Interesting that you mention pulse ox. My clinical director has > repeatedly told that staff that pulse oximetry can only be taken under > an MD's order. > > Regarding the baseline, could you use a patient's self-reported fatigue > level during the desired activity of ambulating to the dining room? Then > use this as the measurable outcome. > > Ron > > ----- Original Message ----- > From: Carmen Aguirre <[email protected]> > Sent: Thursday, February 26, 2009 > To: [email protected] <[email protected]> > Subj: [OTlist] What Would YOU Do? > > > CA> I would start with breathing exercises, 6-min activity testing to > CA> meassure fatigue and shortness of breath to get a meassurable > CA> baseline. Take pulse oxymetry and BP to help educate when rest is > CA> needed if not aware of it and to manage energy levels. Work on basic > CA> routines he wants to improve performance and quality; besides the > CA> actual tasks/activities teach maint. pulmonary exercises to manage > CA> his disease. Medication management to assess how he manages his > CA> disease as well. Community resources and overall health management > CA> skill. Balance retraining, strengthening would be part of my > CA> treatment plan. > > CA> Carmen > > > CA> > > >> Date: Thu, 26 Feb 2009 20:15:25 -0500 > >> From: [email protected] > >> To: [email protected] > >> Subject: [OTlist] What Would YOU Do? > >> > >> Evaluated a man today, recently discharged from rehab. His primary > >> diagnosis is congestive heart failure. > >> > >> He's presents with decreased fine motor control from an unknown > >> etiology. He has decreased lower extremity strength and decreased > >> balance. He is also short of breath during exertion. > >> > >> He is unable to do dishes, zip and button his clothes. He is unable to > >> independently sit/stand and has difficulty getting into his shower Also, > >> he is unable to consistently and safely walk to the dining room of the > >> ALF. He desire to NOT use a wheelchair. His primary concern is > >> mobility-related daily living activity. > >> > >> What treatment MIGHT you provide this patient and why? > >> > >> Thanks, > >> > >> Ron > >> > >> -- > >> Ron Carson MHS, OT > >> www.OTnow.com > >> > >> > >> -- > >> Options? > >> www.otnow.com/mailman/options/otlist_otnow.com > >> > >> Archive? > >> www.mail-archive.com/[email protected] > > CA> _________________________________________________________________ > CA> Windows Live™: Discover 10 secrets about the new Windows Live. > CA> > http://windowslive.com/connect/post/jamiethomson.spaces.live.com-Blog-cns!550F681DAD532637!7540.entry?ocid=TXT_TAGLM_WL_t2_ugc_post_022009 > CA> -- > CA> Options? > CA> www.otnow.com/mailman/options/otlist_otnow.com > > CA> Archive? > CA> www.mail-archive.com/[email protected] > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] _________________________________________________________________ Access your email online and on the go with Windows Live Hotmail. http://windowslive.com/online/hotmail?ocid=TXT_TAGLM_WL_HM_AE_Access_022009 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
